National Provider Identifier

Mary Christina Bonerb, MSED., CCC/L-SLP

Mary Christina Bonerb, MSED., CCC/L-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 822-4781.

NPI 1447561048Buffalo, NYSpeech-Language Pathologist

Profile Overview

NPI
1447561048
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
June 29, 2010
Last Updated
April 24, 2012

Practice Location

  • 697 Ridge RD
  • Buffalo, NY 14218-1500

Phone: (716) 822-4781

Mailing Address

  • 379 Northwood Dr
  • Buffalo, NY 14223-1109

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1447561048
Entity Type
Individual
Last Name
Bonerb
First Name
Mary
Middle Name
Christina
Name Prefix
Mrs.
Credential
MSED., CCC/L-SLP
Mailing Street Address
379 Northwood Dr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14223-1109
Mailing Country
US
Mailing Phone
(716) 913-7729
Practice Street Address
697 Ridge RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14218-1500
Practice Country
US
Practice Phone
(716) 822-4781
Enumeration Date
June 29, 2010
Last Updated
April 24, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)